By Henry M. Spinelli
Cornell Univ., manhattan urban, long island. Atlas addresses either sensible and beauty matters with step by step approaches. in actual fact explains the anatomy, body structure, and pathophysiology and contours summaries of sufferer evaluate and administration. makes use of greater than 250 full-color figures, together with a hundred unique clinical illustrations. DNLM: Blepharoplasty--methods--Atlases.
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Additional resources for Atlas of Aesthetic Eyelid and Periocular Surgery
Ann Acad Med Singapore 29:463-466, 2000. 57 CHAPTER FOUR Upper Lid Blepharoplasty Blepharoplasty has become one of the more common aesthetic surgical procedures performed today. Preoperative evaluation should include a number of important factors, none the least of which is the patient’s own assessment in a mirror of what he or she finds bothersome. As mentioned in Chapter 2, the preoperative evaluation should include a complete examination including a detailed history concerning dry eyes, recurrent herpes zoster or simplex infections, and thyroid disease.
For example, a patient with a history of dry eyes who wears contact lenses will certainly demand greater tear production and tolerate less evaporative loss than the patient who does not present with these underlying demands. A patient with Graves’ disease may have lid retraction, which can be confused with contralateral ptosis. Chronic blepharitis may be exacerbated by eyelid surgery, and prophylactic therapy including antibiotics may be warranted before embarking on eyelid surgery in these patients.
44 This subgroup of patients will tolerate increased forces across the lower lid without foreshortening the intercommissure distance and other problems associated with procedures that do not suspend the lateral canthal complex. In the face of significant horizontal lower lid laxity, the tarsal plication will produce a buckled lower eyelid that does not appropriately appose the ocular surface. EYELID MALPOSITIONS FAT REDISTRIBUTION AND TARSAL TUCK Depressions that may be filled with orbital fat Figure 3-8 The transcutaneous approach to the lower eyelid affords access to the inferior crus of the lateral canthal tendon and lateral tarsus.